National Health and Medical Research Council Centre of Research Excellence Frailty and Healthy Aging, Adelaide, South Australia, Australia.
Adelaide Geriatrics Training and Research with Aged Care (G-TRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
BMC Geriatr. 2021 Feb 3;21(1):99. doi: 10.1186/s12877-020-01974-1.
The Frailty In Residential Sector over Time (FIRST) Study is a 3-year prospective cohort study investigating the health of residents living in residential aged care services (RACS) in South Australia. The study aims to examine the change in frailty status and associated health outcomes.
This interim report presents data from March 2019-October 2020. The study setting is 12 RACS from one organisation across metropolitan and rural South Australia involving 1243 residents. All permanent (i.e. respite or transition care program excluded) residents living in the RACS for at least 8 weeks were invited to participate. Residents who were deemed to be medically unstable (e.g. experiencing delirium), have less than 3 months to live, or not fluent in English were excluded. Data collected included frailty status, medical diagnoses, medicines, pain, nutrition, sarcopenia, falls, dementia, anxiety and depression, sleep quality, quality of life, satisfaction with care, activities of daily living, and life space use at baseline and 12-months. Data Linkage will occur over the 3 years from baseline.
A total of 561 permanent residents (mean age 87.69 ± 7.25) were included. The majority of residents were female (n = 411, 73.3%) with 95.3% (n = 527) being classified as either frail (n = 377, 68.2%) or most-frail (n = 150, 27.1%) according to the Frailty Index (FI). Most residents were severely impaired in their basic activities of daily living (n = 554, 98.8%), and were at-risk of malnutrition (n = 305, 55.0%) and at-risk of sarcopenia (n = 492, 89.5%). Most residents did not experience pain (n = 475, 85.4%), had normal daytime sleepiness (n = 385, 69.7%), and low anxiety and depression scores (n = 327, 58.9%).
This study provides valuable information on the health and frailty levels of residents living in RACS in South Australia. The results will assist in developing interventions that can help to improve the health and wellbeing of residents in aged care services.
Prospectively registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12619000500156 ).
随着时间的推移，住宅部门的脆弱性（FIRST）研究是一项为期 3 年的前瞻性队列研究，旨在调查居住在南澳大利亚住宅老年护理服务（RACS）中的居民的健康状况。该研究旨在检查脆弱性状况的变化和相关的健康结果。
本中期报告介绍了 2019 年 3 月至 2020 年 10 月的数据。研究地点为南澳大利亚一个组织的 12 个 RACS，涉及 1243 名居民。所有至少在 RACS 居住 8 周的永久性居民（即不包括临时护理或过渡护理计划）都被邀请参加。被认为身体不稳定（例如患有谵妄）、预计寿命不到 3 个月或英语不流利的居民被排除在外。收集的数据包括脆弱性状况、医疗诊断、药物、疼痛、营养、肌肉减少症、跌倒、痴呆、焦虑和抑郁、睡眠质量、生活质量、护理满意度、日常生活活动以及生活空间使用情况，基线和 12 个月时进行测量。从基线开始，将进行为期 3 年的数据链接。
共纳入 561 名永久性居民（平均年龄 87.69±7.25 岁）。大多数居民为女性（n=411，73.3%），根据脆弱性指数（FI），95.3%（n=527）的居民被归类为脆弱（n=377，68.2%）或最脆弱（n=150，27.1%）。大多数居民的基本日常生活活动严重受损（n=554，98.8%），有营养不良风险（n=305，55.0%）和肌肉减少症风险（n=492，89.5%）。大多数居民没有经历疼痛（n=475，85.4%），白天嗜睡正常（n=385，69.7%），焦虑和抑郁评分较低（n=327，58.9%）。
本研究提供了有关南澳大利亚住宅老年护理服务中居民健康和脆弱性水平的有价值的信息。结果将有助于制定干预措施，以帮助改善老年护理服务中居民的健康和福祉。
在澳大利亚和新西兰临床试验注册中心（ACTRN12619000500156）进行前瞻性注册。
